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RAD 1303 The Emergency Trolley
RAD 1303
RAD 1303
The Emergency Trolley
The Emergency Trolley
LEARNING OBJECTIVES By the end of Lecture the student will be able to: 1. Define

LEARNING OBJECTIVES

By the end of Lecture the student will be able to:

1. Define the emergency trolley its purpose in the radiology department

2. Identify the external contents of the emergency trolley and state the purpose of each content.

3. Classify the different drawers of the emergency trolley

4. List the various emergency drugs and state their action

References

References M.A.Seraj, The new manual of basic emergency procedures, first aid and updated CPR. Useful websites

M.A.Seraj, The new manual of basic emergency procedures, first aid and updated CPR.

Useful websites

http://www.wisegeek.com/what-is-a-crash-cart.htm

basic emergency procedures, first aid and updated CPR. Useful websites http://www.wisegeek.com/what-is-a-crash-cart.htm 3
basic emergency procedures, first aid and updated CPR. Useful websites http://www.wisegeek.com/what-is-a-crash-cart.htm 3

The emergency trolley

It is a multi drawer cabinet that is kept in in the imaging department. with the essential medication and tools that need for emergency cases

Other names:

and tools that need for emergency cases Other names: Emergency cart/Emergency response cart/Code cart/Crash cart.

Emergency cart/Emergency response cart/Code cart/Crash cart.

Goal of emergency trolley

each cart to begin addressing the emergency conditions while waiting the emergency team to arrive:

o

Compromised Airway

o

Respiratory Distress /Respiratory Arrest

o

Cardiac Arrest

o

Drug Overdose

o

Hypoglycemia

o Anaphylactic Reaction NOTE: At the beginning of each shift the in charge Technologist should check with the radiology department nurse the equipment and medication to ensure if they are prepared for use in critical situation .

The emergency trolley

CONTENTS OF THE TROLLEY

The emergency trolley CONTENTS OF THE TROLLEY A/ Top of emergency trolley (External Contents ) •Oxygen

A/ Top of emergency trolley (External Contents) •Oxygen supply •Defibrillator with Monitor

• Portable monitor/defibrillator unit

• Portable suction apparatus •Laryngoscope •Shuttle forceps •Sphygmomanometer •Stethoscope •Emergency Crash Cart Check Sheet •Check List of cart contents. •Emergency drug information sheet

•Stethoscope •Emergency Crash Cart Check Sheet •Check List of cart contents. •Emergency drug information sheet 5

Contents of the trolley

External Contents Oxygen supply:

To arise alveolar oxygen tension. To relieve hypoxemia or hypoxia.

alveolar oxygen tension. To relieve hypoxemia or hypoxia. Oxygen regulator with flow meter a valve to

Oxygen regulator with flow meter a valve to adjust the rate of oxygen flow

Oxygen regulator with flow meter a valve to adjust the rate of oxygen flow O x

Oxygen cylinder

Contents of the trolley

External Contents

Defibrillator:

Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmias ventricular fibrillation

Defibrillation is the definitive treatment for the life-threatening cardiac arrhythmias ventricular fibrillation 7

Contents of the trolley

External Contents

Suction apparatus:

Mechanical suction is used when a patient is unable to clear mouth or throat of secretions, blood, or vomits.

Sphygmomanometer:

It is an Instrument used to measure blood pressure.

Stethoscope:

It is an instrument used in auscultation of heart sounds and also it is used in measuring blood pressure.

Stethoscope: It is an instrument used in auscultation of heart sounds and also it is used
Stethoscope: It is an instrument used in auscultation of heart sounds and also it is used
Stethoscope: It is an instrument used in auscultation of heart sounds and also it is used

Contents of the trolley

B/ Drawer contents:

Drawer 1- Medications Drawer 2- Breathing and Airway Drawer 3- Circulation: IV supplies Drawer 4- Circulation: I.V. solutions and tubing Drawer 5- Cardiac, Chest Procedures Drawer 6- Special Procedure Trays

Contents of the trolley

Drawer contents:

Drawer 1- Medications

Contents of the trolley Drawer contents: Drawer 1- Medications 10

Contents of the trolley

EmergencyEmergencyEmergencyEmergency medicationmedicationmedicationmedication ListListListList

Drug

Action

Adrenalin (epinephrine )

Increase cardiac output, constricts blood vessels, raises blood pressure, relaxes bronchioles, aids respiration

Aminophylline

Reverses bronchospasm (Prevention of bronchial asthma )

Atropine

Dries secretions, Dilate the bronchi

Chlorpheniramine ,

Antihistamine drug used in the prevention of the symptoms of allergic conditions such as rhinitis and urticaria

Caffeine sodium benzoate

Respiratory stimulant

Dioxin (Lanoxin)

Increases cardiac output, for the treatment of various heart conditions, such as atrial fibrillation

Dilantin

an anti-epileptic (anticonvulsant)

Glucagon

For maintaining normal concentrations of glucose in blood, (having the opposite effect of insulin)

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11

Contents of the trolley

EmergencyEmergencyEmergencyEmergency medicationmedicationmedicationmedication ListListListList

Drug

Action

Lasix

Diuretic,

(nitroglycerin)

anti angina drug

Isorbide Dinitrate

anti angina drug

Hydrocortisone

For sever bronchospasm

Lignocaine2%

Anti arrhythmic drug For ventricular fibrillation

Diazepam

anticonvulsant, sedative

Calcium gluconate

Anti Acid,Treat of hypertension

Dopamine

Correct hemodynamic imbalance

potassium chloride

Prevent & treat cardiac arrhythmia

Heparin

Anticoagulant (Inhibits blood coagulation)

Contents of the trolley

Drawer contents:

Drawer 2- Breathing and Airway

Examples:-

Drawer contents: Drawer 2- Breathing and Airway Examples:- •Oropharyngeal Airways •Nasopharyngeal Airways

•Oropharyngeal Airways •Nasopharyngeal Airways •Endotracheal tubes •Tracheostomy tubes •Tracheostomy mask •Face mask •Pocket mask •Suction catheter •Suction tube •Nasal cannula Laryngoscope Tongue blades

Contents of the trolley

Breathing and Airway

Laryngoscope:

It is used to obtain a view of the glottis. It is also used in intubation.

Bag valve mask (Ambo bag) Is a hand- held device used to provide ventilation to a patient who is not breathing or who is breathing inadequately

Is a hand- held device used to provide ventilation to a patient who is not breathing
Is a hand- held device used to provide ventilation to a patient who is not breathing

Contents of the trolley

Breathing and Airway

Tracheostomy set :

Tracheostomy is a surgical procedure on the neck to open a direct airway through an incision in the trachea. Patients who must have a higher continues rate of oxygen flow, require a Tracheostomy that is connected to the oxygen supply.

who must have a higher continues rate of oxygen flow, require a Tracheostomy that is connected
who must have a higher continues rate of oxygen flow, require a Tracheostomy that is connected

Contents of the trolley

Breathing and Airway

Ventilation Devices:

Pocket mask designed for mouth-to-mask ventilation of a non-breathing person. It is an alternative to a bag-valve mask device for providing ventilation.

ventilation of a non-breathing person. It is an alternative to a bag-valve mask device for providing
ventilation of a non-breathing person. It is an alternative to a bag-valve mask device for providing

Contents of the trolley

Breathing and Airway Airway adjuncts:

Oropharyngeal Airways:

known

oral airway, or

OPA. It is used to maintain a (open) airway It does this by preventing the tongue from (either partially or completely) covering the epiglottis, which could prevent the patient from breathing.

as

an

from (either partially or completely) covering the epiglottis, which could prevent the patient from breathing. as

Contents of the trolley

Breathing and Airway

Airway adjuncts:

Nasopharyngeal Airways:

Also known as an NPA or a nasal trumpet. It is a tube that is designed to be inserted into the nasal passageway to secure an open airway.

or a nasal trumpet. It is a tube that is designed to be inserted into the

Contents of the trolley

Endotracheal tubes:

The Endotracheal tube serves as an open passage through the upper airway. The purpose of Endotracheal intubation is to permit air to pass freely to and from the lungs in order to ventilate the lungs.

of Endotracheal intubation is to permit air to pass freely to and from the lungs in

Contents of the trolley

Drawer contents:

Drawer 3- Circulation: IV supplies

Examples:-

Needles different sizescontents: Drawer 3- Circulation: IV supplies Examples:- Syringes different sizes Butterflies Sterile water vials IV

Syringes different sizesCirculation: IV supplies Examples:- Needles different sizes Butterflies Sterile water vials IV cannulas Tourniquet

ButterfliesExamples:- Needles different sizes Syringes different sizes Sterile water vials IV cannulas Tourniquet Alcohol swabs

Sterile water vialsNeedles different sizes Syringes different sizes Butterflies IV cannulas Tourniquet Alcohol swabs Cotton balls Blood

IV cannulassizes Syringes different sizes Butterflies Sterile water vials Tourniquet Alcohol swabs Cotton balls Blood tubes Tape

Tourniquetsizes Syringes different sizes Butterflies Sterile water vials IV cannulas Alcohol swabs Cotton balls Blood tubes

Alcohol swabssizes Syringes different sizes Butterflies Sterile water vials IV cannulas Tourniquet Cotton balls Blood tubes Tape

Cotton ballssizes Syringes different sizes Butterflies Sterile water vials IV cannulas Tourniquet Alcohol swabs Blood tubes Tape

Blood tubessizes Syringes different sizes Butterflies Sterile water vials IV cannulas Tourniquet Alcohol swabs Cotton balls Tape

different sizes Butterflies Sterile water vials IV cannulas Tourniquet Alcohol swabs Cotton balls Blood tubes Tape
Tape 20
Tape
20

Contents of the trolley

Drawer contents:

Drawer 4- I.V. solutions and tubing

Examples:-

0.9% sodium chloride 500ml)5%contents: Drawer 4- I.V. solutions and tubing Examples:- Dextrose (500ml) 10% dextrose (500ml) Hase-steril 6% (500ml)

Dextrose (500ml)and tubing Examples:- 0.9% sodium chloride 500ml)5% 10% dextrose (500ml) Hase-steril 6% (500ml) Ringer lactate

10% dextrose (500ml)Examples:- 0.9% sodium chloride 500ml)5% Dextrose (500ml) Hase-steril 6% (500ml) Ringer lactate (500ml) Blood pump

Hase-steril 6% (500ml)sodium chloride 500ml)5% Dextrose (500ml) 10% dextrose (500ml) Ringer lactate (500ml) Blood pump tubing I.V. Tubing

Ringer lactate (500ml)sodium chloride 500ml)5% Dextrose (500ml) 10% dextrose (500ml) Hase-steril 6% (500ml) Blood pump tubing I.V. Tubing

Blood pump tubingchloride 500ml)5% Dextrose (500ml) 10% dextrose (500ml) Hase-steril 6% (500ml) Ringer lactate (500ml) I.V. Tubing 21

I.V. Tubingchloride 500ml)5% Dextrose (500ml) 10% dextrose (500ml) Hase-steril 6% (500ml) Ringer lactate (500ml) Blood pump tubing

Dextrose (500ml) 10% dextrose (500ml) Hase-steril 6% (500ml) Ringer lactate (500ml) Blood pump tubing I.V. Tubing

Contents of the trolley

Drawer contents:

Drawer 5- Cardiac, Chest Procedures

Examples:-

ECG electrodescontents: Drawer 5- Cardiac, Chest Procedures Examples:- Sterile gloves Sutures Cardiac needle Sterile towels Cut

Sterile gloves5- Cardiac, Chest Procedures Examples:- ECG electrodes Sutures Cardiac needle Sterile towels Cut down tray Catheter

SuturesChest Procedures Examples:- ECG electrodes Sterile gloves Cardiac needle Sterile towels Cut down tray Catheter kit

Cardiac needleProcedures Examples:- ECG electrodes Sterile gloves Sutures Sterile towels Cut down tray Catheter kit Chest tubes

Sterile towelsExamples:- ECG electrodes Sterile gloves Sutures Cardiac needle Cut down tray Catheter kit Chest tubes Dressings

Cut down trayExamples:- ECG electrodes Sterile gloves Sutures Cardiac needle Sterile towels Catheter kit Chest tubes Dressings 22

Catheter kitExamples:- ECG electrodes Sterile gloves Sutures Cardiac needle Sterile towels Cut down tray Chest tubes Dressings

Chest tubesExamples:- ECG electrodes Sterile gloves Sutures Cardiac needle Sterile towels Cut down tray Catheter kit Dressings

DressingsExamples:- ECG electrodes Sterile gloves Sutures Cardiac needle Sterile towels Cut down tray Catheter kit Chest

ECG electrodes Sterile gloves Sutures Cardiac needle Sterile towels Cut down tray Catheter kit Chest tubes

Contents of the trolley

Drawer contents:

Drawer 6- Special Procedure Trays

Contents of the trolley Drawer contents: Drawer 6- Special Procedure Trays 23

Contents of the trolley

SampleSampleSampleSample ofofofof suppliessuppliessuppliessupplies

I.V Cannula
I.V Cannula
the trolley SampleSampleSampleSample ofofofof suppliessuppliessuppliessupplies I.V Cannula Syringe Butterfly Tourniquet 24

Syringe

the trolley SampleSampleSampleSample ofofofof suppliessuppliessuppliessupplies I.V Cannula Syringe Butterfly Tourniquet 24

Butterfly

the trolley SampleSampleSampleSample ofofofof suppliessuppliessuppliessupplies I.V Cannula Syringe Butterfly Tourniquet 24

Tourniquet

Contents of the trolley

SampleSampleSampleSample suppliessuppliessuppliessupplies

SampleSampleSampleSample suppliessuppliessuppliessupplies TongueTongueTongueTongue bladesbladesbladesblades Kidney

TongueTongueTongueTongue bladesbladesbladesblades

TongueTongueTongueTongue bladesbladesbladesblades Kidney bowel masks Protective gowns

Kidney bowel

bladesbladesbladesblades Kidney bowel masks Protective gowns ScissorsScissorsScissorsScissors

masks

bladesbladesbladesblades Kidney bowel masks Protective gowns ScissorsScissorsScissorsScissors

Protective gowns

bladesbladesbladesblades Kidney bowel masks Protective gowns ScissorsScissorsScissorsScissors
bladesbladesbladesblades Kidney bowel masks Protective gowns ScissorsScissorsScissorsScissors

ScissorsScissorsScissorsScissors

ThermometerThermometerThermometerThermometer

The End

Assignment.1

Emergency Trolley quiz At

http://faculty.ksu.edu.sa/74344/default.aspx